Elliott, Gerald W.
Elliott, Gerald W. is an individual health care provider with primary practice located at 120 N Eagle Creek Dr Suite 360, Lexington KY 40509-1827. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Elliott, Gerald W. can be contacted via phone (859) 258-5270.Contact Information
Primary practice address
120 N Eagle Creek Dr Suite 360
Lexington KY 40509-1827
Phone: (859) 258-5270
Fax: (859) 258-5202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 26524 | Kentucky |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | 26524 | Kentucky |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 26524 | Kentucky |
Profile Details
| NPI number | 1225063175 |
|---|---|
| LBN Legal business name | Elliott, Gerald W. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Nov 2nd, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225063175 | NPPES |
| Kentucky | Other | CB5773 | RAILROAD MEDICARE GROUP |
| Kentucky | Other | 37903705 | RAILROAD MEDICARE GROUP |
| Kentucky | MEDICAID | 64265242 | RAILROAD MEDICARE GROUP |
| Kentucky | Other | ASC1019 | RAILROAD MEDICARE GROUP |
| Kentucky | Other | 36000818 | RAILROAD MEDICARE GROUP |
| Kentucky | Other | 4000501 | RAILROAD MEDICARE GROUP |
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